STATE PROFILE • Last updated: April 23, 2026
New York Elder Care & Medicaid
New York's senior Medicaid landscape offers robust home and community-based care through MLTC and CFCO, alongside a limited Assisted Living Program, with eligibility often managed via a spend-down process.
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RANKED #21
GRADE C
FEATURED
Medicaid Coverage Guide for New York
Full breakdown of Managed Long-Term Care (MLTC) for seniors: waiver programs, nursing home eligibility, income and asset limits, spend-down rules, and how to apply.
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Program
Managed Long-Term Care (MLTC)
Income cap
$1,836/mo
Medically-needy
Yes
Elder Care Index Report Card
5-pillar composite scoring vs other states
C
Grade
AFFORDABILITY
MODERATE
QUALITY
MODERATE
STAFFING
CRITICAL
ACCESS
MODERATE
MEDICAID SUPPORT
STRONG
Composite score: 50.3 / 100
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New York At a Glance
Nursing Home Facilities
596
Senior Medicaid Waivers
3
National Rank
#21 / 51
Senior Care Costs in New York
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Assisted Living
$4,580/mo
-0.2% vs national avg
local_hospital
Nursing Home
$15,164/mo
+37.4% vs national avg
- 596 nursing homes · 111,620 beds
- Avg CMS rating 3.03★ (138 rated 5★, 118 rated 1★)
- 3.65 nurse hrs/resident/day (0.7 RN)
Source: CMS Nursing Home Compare
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Memory Care
$5,725/mo
-0.2% vs national avg
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Home Health Aide
$30/hr
+11.1% vs national avg
- Median aide wage $18.26/hr
- ~623,000 aides employed statewide
Source: BLS OEWS